CKD-11.1 Increase the proportion of adult hemodialysis patients who use arteriovenous fistulas as the primary mode of vascular access
About the Data
Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.
Number of persons aged 18 years and over who are reported to use arteriovenous (AV) fistula as the primary mode of vascular access
Number of persons aged 18 years and over on hemodialysis
From the in-center hemodialysis CMS Clinical Performance Measures data collection form CMS-820:
What type of access was used on the last hemodialysis session on or between mm/dd/yyyy and mm/dd/yyyy at the patient’s primary in-center facility?
- AV Fistula
- Graft with AV Fistula
- Graft without AV Fistula
- Port Access
Data from the Centers for Medicare and Medicaid Services (CMS) End Stage Renal Disease (ESRD) Clinical Performance Measures (CPM) project are used for this objective. Included patients are those whose date of dialysis initiation, according to the CPM data, occurs in the same year as the data collection, and access type represents the access used during the last quarter of the year, according to the CPM data.CPM is a CMS project developed to collect information on the quality of care provided to the ESRD dialysis patient. The data originates from surveys completed by the patients’ primary care facilities, which have been collected on a yearly basis, resulting in a rich source of detailed information useful in the analysis of health care delivery to the dialysis patient.
Additional resources about the objective
More details on the methods used for calculating rates can be found in Appendix A of the USRDS Annual Data Report Atlas.